API Data Explorer (Athletic)
Choose an endpoint and browse pulled athletic records with export support.
API Endpoints
Total rows: 99,149
| created_at | updated_at | id | athelas_task_id | cmds_task_id | payer_id | payer_name | provider_npi | trace_number | provider_name | subscriber_dob | date_of_service | subscriber_gender | service_type_codes_1 | service_type_codes_2 | subscriber_last_name | subscriber_member_id | subscriber_first_name | raw_response_url | check_source | has_error | created_by | date_of_service | parsed_data_url | parsed_data | oon_parsed_data | suggested_copay_amt | is_deductible_met | is_in_network | plan_info_member_id | plan_info_plan_type | plan_info_group_name | plan_info_payer_name | plan_info_payer_note | plan_info_patient_dob | plan_info_plan_number | plan_info_group_number | plan_info_insurance_type | plan_info_plan_type_code | plan_info_enrolled_in_qmb | plan_info_patient_last_name | plan_info_plan_sponsor_name | plan_info_patient_first_name | plan_info_patient_middle_name | plan_info_date_time_period_end | plan_info_date_time_period_start | plan_info_plan_coverage_description | plan_info_relationship_to_subscriber | service_type_codes_1 | service_type_codes_2 | is_proactive_visit | is_archived | failed_to_parse_response_reason | payer_plan_info | medicare_part | waystar_inquiry_id | created_by_user_id | appointment_id | patient_insurance_info_id | site_id | facility_id | eligibility_coverage_id | mapped_insurance_company_id | patient_id | eligibility_checks_updated_at | patients_updated_at |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-05-29 09:06:35.496011 | 2025-05-30 02:10:40.664605 | 8370326 | N/A | N/A | 87726 | UHC Shared Services | 1114042165 | 8370326 | Athletic Physical Therapy Inc | 1976-03-26 | 2025-06-02 | M | PT | AE | ORLOV | 23474362GEHA | BORIS | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250529.115937580.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543101/check_8370326_16e2d9d4-3e2d-4d20-aa4a-f004db4d1712.json | N/A | N/A | N/A | N/A | N/A | 23474362GEHA | N/A | N/A | UNITEDHEALTHCARE | N/A | 1976-03-26 | N/A | N/A | N/A | N/A | false | ORLOV | N/A | BORIS | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5543101 | 2222 | 4802 | 8065695 | N/A | 4214932 | 2025-05-30 02:10:40.664605 | 2025-05-13 04:29:37.229254 |
| 2025-05-29 09:06:35.355242 | 2025-05-30 02:05:56.180824 | 8370317 | N/A | N/A | 60054 | Aetna | 1114042165 | 8370317 | Athletic Physical Therapy Inc | 1959-05-08 | 2025-06-02 | M | PT | AE | KORY | 102161581800 | MICHAEL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250529.115937580.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542870/check_8370317_8fbc4321-eaa9-4542-99f0-0af065de8ece.json | N/A | N/A | N/A | N/A | N/A | 102161581800 | Preferred Provider Organization (PPO) | MA INDIVIDUAL - CALIFORNIA | AETNA | MEDICARE | 1959-05-08 | 000003-CA000058 | 000003-CA | N/A | PR | false | KORY | N/A | MICHAEL | N/A | N/A | N/A | AETNA MEDICARE CORE (PPO) | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5542870 | 2222 | 4793 | 8061461 | N/A | 4214732 | 2025-05-30 02:05:56.180824 | 2025-06-24 20:13:53.579048 |
| 2025-05-29 09:06:35.075404 | 2025-05-30 02:14:55.579794 | 8370305 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8370305 | Athletic Physical Therapy Inc | 1961-06-10 | 2025-06-05 | F | PT | N/A | BEALE | XEA914146227 | TERRI | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250529.115937580.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542617/check_8370305_2a5f4ea3-d767-42a0-83e9-8027869a431c.json | N/A | N/A | N/A | N/A | N/A | XEA914146227 | Preferred Provider Organization (PPO) | MAKAI SOCIAL MARKETING INC | BLUE SHIELD CALIFORNIA | N/A | 1961-06-10 | 1000VX000102 | W0131707 | N/A | PR | false | BEALE | N/A | RON | N/A | N/A | N/A | BLUE SHIELD OF CALIFORNIA CHILDREN S DENTAL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5542617 | 2222 | 4793 | 8069361 | N/A | 4214503 | 2025-05-30 02:14:55.579794 | 2025-07-04 18:50:03.492719 |
| 2025-05-29 09:06:34.735492 | 2025-05-30 02:13:23.651508 | 8370293 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8370293 | Athletic Physical Therapy Inc | 1950-10-11 | 2025-06-02 | F | PT | AE | FRANK | JQE134A79727 | KAREN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250529.115937580.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542269/check_8370293_793a68f7-32de-4581-925d-1e1c3e516f1f.json | N/A | N/A | N/A | N/A | N/A | JQE134A79727 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1950-10-11 | 040 | CASUPWP0 | N/A | N/A | false | FRANK | N/A | KAREN | N/A | 9999-12-31 | 2022-01-01 | CA MODERNIZED PLAN G | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5542269 | 2222 | 4802 | 8067957 | N/A | 4214201 | 2025-05-30 02:13:23.651508 | 2025-05-13 04:29:37.228535 |
| 2025-05-29 09:06:34.475240 | 2025-05-30 02:13:25.515601 | 8370279 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8370279 | Athletic Physical Therapy Inc | 1936-09-29 | 2025-06-03 | M | PT | AE | JAUDE | 313A23793 | KARIM | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250529.115937580.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542254/check_8370279_f8bbb654-a2f4-42c7-a9d8-a7d57c97020d.json | N/A | N/A | N/A | N/A | N/A | 313A23793 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1936-09-29 | N/A | N/A | N/A | N/A | false | JAUDE | N/A | KARIM | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5542254 | 2222 | 4802 | 8067989 | N/A | 4214191 | 2025-05-30 02:13:25.515601 | 2025-05-13 04:29:37.228525 |
| 2025-05-29 09:06:34.241649 | 2025-05-30 02:14:59.141310 | 8370269 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8370269 | Athletic Physical Therapy Inc | 1996-12-31 | 2025-05-30 | M | PT | N/A | SIMON | XED913765354 | DUSTIN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250529.115937580.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542217/check_8370269_7606777d-3df9-4141-8292-ba9e269a9d4d.json | N/A | N/A | N/A | N/A | N/A | XED913765354 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1996-12-31 | 2001ZK002185 | X0001004 | N/A | PR | false | SIMON | N/A | DUSTIN | N/A | N/A | N/A | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5542217 | 2222 | 4793 | 8069414 | N/A | 4214155 | 2025-05-30 02:14:59.141310 | 2025-05-13 04:29:37.228482 |
| 2025-05-29 09:06:34.043365 | 2025-05-30 02:08:05.518405 | 8370256 | N/A | N/A | 62308 | CIGNA (Connecticut General, Equicor, Equitable) | 1114042165 | 8370256 | Athletic Physical Therapy Inc | 1963-10-30 | 2025-05-30 | M | AD | N/A | SCHIRO | U4234027401 | CRAIG | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250529.115937580.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541834/check_8370256_ef9acb58-bfde-4018-ad0b-3492d9cd5553.json | N/A | N/A | N/A | N/A | N/A | U4234027401 | N/A | EQUIFAX INC. | CHLIC | PREFERRED CARE MANAGEMENT | 1963-10-30 | N/A | 3333787 | N/A | N/A | false | SCHIRO | N/A | CRAIG | N/A | N/A | N/A | OPEN ACCESS PLUS | N/A | AD | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5541834 | 2222 | 4802 | 8063422 | N/A | 4213817 | 2025-05-30 02:08:05.518405 | 2025-05-13 04:29:37.228137 |
| 2025-05-29 09:06:33.823992 | 2025-05-30 02:14:18.885495 | 8370248 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8370248 | Athletic Physical Therapy Inc | 1952-05-13 | 2025-05-30 | U | PT | AE | WOLFE | JQE369M78235 | DIA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250529.115937580.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541818/check_8370248_dd0098ed-60e7-4e2a-8427-d41a912bf62f.json | N/A | N/A | N/A | N/A | N/A | JQE369M78235 | N/A | N/A | BLUE CROSS CALIFORNIA | N/A | 1952-05-13 | N/A | N/A | N/A | N/A | false | WOLFE | N/A | DIA | N/A | 9999-12-31 | 2024-06-01 | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5541818 | 2222 | 4801 | 8068801 | N/A | 4213795 | 2025-05-30 02:14:18.885495 | 2026-06-05 00:55:52.281598 |
| 2025-05-29 09:06:33.650151 | 2025-05-30 02:02:17.258325 | 8370240 | N/A | N/A | VCHCP | Ventura County Health Care Plan | 1114042165 | 8370240 | Athletic Physical Therapy Inc | 2007-05-21 | 2025-06-04 | F | PT | AE | ALEMAN | 00026111804 | ALEXA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250529.115937580.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541704/check_8370240_6c512cca-8005-4b55-a134-f83272195191.json | N/A | N/A | N/A | N/A | N/A | 00026111804 | N/A | N/A | VENTURA COUNTY HEALTH CARE PLAN | N/A | 2007-05-21 | N/A | N/A | N/A | N/A | false | ALEMAN | N/A | ALEXA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5541704 | 2222 | 4801 | 8058593 | N/A | 4213696 | 2025-05-30 02:02:17.258325 | 2025-05-13 04:29:37.228015 |
| 2025-05-29 09:06:33.546601 | 2025-05-30 02:10:39.524366 | 8370234 | N/A | N/A | 87726 | United Healthcare | 1114042165 | 8370234 | Athletic Physical Therapy Inc | 1972-08-02 | 2025-06-03 | F | PT | AE | RAMSEY KANZAWA | 778790241 | JENNIFER | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250529.115937580.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541156/check_8370234_ba3232d9-cec5-4d15-b878-f7584f527ed9.json | N/A | N/A | N/A | N/A | N/A | 77879024100 | Commercial | N/A | UNITEDHEALTHCARE BENEFITS PLAN OF CALIFORNIA | FUNDING TYPE = FULLY INSURED - SMALL GROUP | 1972-08-02 | N/A | 1687339 | N/A | C1 | false | KANZAWA | N/A | JENNIFER | N/A | N/A | N/A | SELECT PLUS | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5541156 | 2222 | 4802 | 8065677 | N/A | 4213204 | 2025-05-30 02:10:39.524366 | 2025-05-28 20:17:37.873556 |
| 2025-05-29 09:06:33.447982 | 2025-05-30 02:13:29.589960 | 8370228 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8370228 | Athletic Physical Therapy Inc | 1953-03-05 | 2025-06-04 | F | PT | AE | SESAR | JQE697M91288 | SHARON | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250529.115937580.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540948/check_8370228_4d9bd355-7db7-48d9-935e-f1da35465f3d.json | N/A | N/A | N/A | N/A | N/A | JQE697M91288 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1953-03-05 | 040 | CASUPWP0 | N/A | N/A | false | SESAR | N/A | SHARON | N/A | 9999-12-31 | 2018-03-01 | CA PLAN F INNOVATIVE | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5540948 | 2222 | 4793 | 8068054 | N/A | 4213027 | 2025-05-30 02:13:29.589960 | 2025-06-25 17:17:00.282109 |
| 2025-05-29 09:06:33.283587 | 2025-05-30 02:02:16.042586 | 8370223 | N/A | N/A | 111 | UNITED AMERICAN INSURANCE COMPANY MED SUPP | 1114042165 | 8370223 | Athletic Physical Therapy Inc | 1949-12-02 | 2025-06-05 | F | PT | AE | LADEN | 008147179 | CANDACE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250529.115937580.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540775/check_8370223_42558d87-6927-407b-be6c-7ed5efaf625b.json | N/A | N/A | N/A | N/A | N/A | 008147179 | N/A | N/A | UNITED AMERICAN INSURANCE COMPANY MED SUPP | N/A | 1949-12-02 | N/A | N/A | N/A | N/A | false | LADEN | N/A | CANDACE | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5540775 | 2222 | 4802 | 8058583 | N/A | 4212856 | 2025-05-30 02:02:16.042586 | 2025-08-04 18:33:35.319989 |
| 2025-05-29 09:06:33.130290 | 2025-05-30 02:03:24.119892 | 8370216 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 8370216 | Athletic Physical Therapy Inc | 1946-04-16 | 2025-05-30 | F | PT | AE | GNAD | 03840002311 | MELANIE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250529.115937580.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540682/check_8370216_a147c810-b5d4-4e59-84a0-842465848746.json | N/A | N/A | N/A | N/A | N/A | 03840002311 | N/A | N/A | AARP SUPPLEMENTAL HEALTH PLANS FROM UNITEDHEALTHCARE | N/A | 1946-04-16 | N/A | N/A | N/A | N/A | false | GNAD | N/A | MELANIE | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5540682 | 2222 | 4801 | 8059272 | N/A | 4212792 | 2025-05-30 02:03:24.119892 | 2025-10-07 20:33:25.637997 |
| 2025-05-29 09:06:32.842741 | 2025-05-30 02:12:51.257908 | 8370205 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 8370205 | Athletic Physical Therapy Inc | 1948-09-11 | 2025-06-02 | M | PT | AE | BAKSHI | 96558021D | ALFRED | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250529.115937580.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540448/check_8370205_f7be0e42-6664-4c45-9882-b519a606d891.json | N/A | N/A | N/A | N/A | N/A | 96558021D | N/A | N/A | MEDICARE | N/A | 1948-09-11 | N/A | N/A | N/A | N/A | false | BAKSHI | N/A | ALFRED | N/A | N/A | N/A | KCW MCALSTD | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5540448 | 2222 | 4802 | 8067469 | N/A | 4212608 | 2025-05-30 02:12:51.257908 | 2025-05-13 04:29:37.226956 |
| 2025-05-29 09:06:32.490760 | 2025-05-30 02:08:04.888805 | 8370185 | N/A | N/A | 62308 | CIGNA (Connecticut General, Equicor, Equitable) | 1114042165 | 8370185 | Athletic Physical Therapy Inc | 1988-09-18 | 2025-06-02 | F | PT | N/A | MERCADO | 11105311801 | ASHLEY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250529.115937580.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539885/check_8370185_10bfb41e-8ed2-48b5-9ffa-4673d716c24f.json | N/A | N/A | N/A | N/A | N/A | 11105311801 | N/A | TELESIGN CORPORATION | CHLIC | PROVIDER IS IN NETWORK BASED ON NPI ID PROVIDED IN REQUEST COMPLETE CARE MANAGEMENT | 1988-09-18 | N/A | 00655624 | N/A | N/A | false | MERCADO | N/A | ASHLEY | N/A | N/A | N/A | OPEN ACCESS PLUS | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5539885 | 2222 | 4802 | 8063411 | N/A | 4212122 | 2025-05-30 02:08:04.888805 | 2025-05-13 04:29:37.226459 |
| 2025-05-29 09:06:32.064387 | 2025-05-30 02:13:24.959447 | 8370164 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8370164 | Athletic Physical Therapy Inc | 1943-08-11 | 2025-05-30 | M | PT | AE | GILMAN | JQE374M98431 | SHELDON | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250529.115937580.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539812/check_8370164_039e8637-89ea-404b-bf35-9f233e1956eb.json | N/A | N/A | N/A | N/A | N/A | JQE374M98431 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1943-08-11 | 040 | CASUPWP0 | N/A | N/A | false | GILMAN | N/A | SHELDON | N/A | 9999-12-31 | 2021-09-01 | CA MODERNIZED PLAN G | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5539812 | 2222 | 4802 | 8067977 | N/A | 4212067 | 2025-05-30 02:13:24.959447 | 2025-05-13 04:29:37.226388 |
| 2025-05-29 09:06:31.809859 | 2025-05-30 02:15:48.625856 | 8370155 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8370155 | Athletic Physical Therapy Inc | 1963-03-09 | 2025-05-30 | M | PT | N/A | GILLETTE | ZZA129013396001 | GRADY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250529.115937580.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539749/check_8370155_ea2c17c6-117e-4ffd-9910-8d0154b5b8ca.json | N/A | N/A | N/A | N/A | N/A | ZZA129013396001 | N/A | N/A | BLUE SHIELD OF CALIFORNIA | N/A | 1963-03-09 | 725 | 10527566 | N/A | N/A | false | GILLETTE | N/A | VICTORIA | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5539749 | 2222 | 4801 | 8070153 | N/A | 4212009 | 2025-05-30 02:15:48.625856 | 2025-05-13 04:29:37.226332 |
| 2025-05-29 09:06:31.537732 | 2025-05-30 02:14:56.246830 | 8370144 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8370144 | Athletic Physical Therapy Inc | 1956-08-13 | 2025-05-30 | M | PT | AE | GORODENZIK | XEM910692096 | AMIR | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250529.115937580.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539599/check_8370144_861ab413-f374-4c39-aa2d-d2d25f5c87ea.json | N/A | N/A | N/A | N/A | N/A | XEM910692096 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1956-08-13 | 2002SD000030 | X0001002 | N/A | OT | false | GORODENZIK | N/A | AMIR | N/A | 2025-06-30 | 2025-01-01 | MEDICARE SUPPLEMENT PLAN G EXTRA | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5539599 | 2222 | 4793 | 8069371 | N/A | 4211880 | 2025-05-30 02:14:56.246830 | 2025-05-13 04:29:37.226201 |
| 2025-05-29 09:06:31.240968 | 2025-05-30 02:13:22.934310 | 8370124 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8370124 | Athletic Physical Therapy Inc | 1954-01-12 | 2025-06-02 | F | PT | AE | FINCH | XDD909A67880 | DAWN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250529.115937580.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538474/check_8370124_4f94a1f9-5666-43e7-96d7-3d18d9ab77de.json | N/A | N/A | N/A | N/A | N/A | 3YV4XM6FP06 | N/A | CALPERS PERS PLATINUM MSUPP RETIREES(PA) REGION3 | MEDICARE B | N/A | 1954-01-12 | 040 | BS270I | N/A | N/A | false | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5538474 | 2222 | 4802 | 8067942 | N/A | 4210886 | 2025-05-30 02:13:22.934310 | 2025-05-13 04:29:37.225284 |
| 2025-05-29 09:06:31.053295 | 2025-05-30 02:08:06.124894 | 8370116 | N/A | N/A | 62308 | American Specialty Health | 1114042165 | 8370116 | Athletic Physical Therapy Inc | 1993-09-10 | 2025-06-02 | M | AD | N/A | WARD | U7734372001 | WILLIAM | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250529.115937580.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538124/check_8370116_99d718c0-fd32-437d-ba98-cc5bd2415a5d.json | N/A | N/A | N/A | N/A | N/A | OSC775669110100 | N/A | N/A | OSCAR | PATIENT IS NOT COVERED BASED ON DATA AVAILABLE AS OF DATE OF REQUEST. CONTACT OTHER ENTITY TO VALIDATE | 1993-09-10 | N/A | N/A | N/A | N/A | false | WARD | N/A | WILLIAM | N/A | N/A | N/A | N/A | N/A | AD | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5538124 | 2222 | 4802 | 8063432 | N/A | 4210590 | 2025-05-30 02:08:06.124894 | 2025-05-13 04:29:37.225004 |
| 2025-05-29 09:06:30.854796 | 2025-05-30 02:13:30.807969 | 8370102 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8370102 | Athletic Physical Therapy Inc | 1964-06-08 | 2025-06-03 | F | PT | N/A | YOUHANAIE | UQK557A62707 | TERESA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250529.115937580.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537881/check_8370102_d132c78c-8636-4966-b9b8-24031bcb455c.json | N/A | N/A | N/A | N/A | N/A | UQK557A62707 | Preferred Provider Organization (PPO) | CDHP HSA W/NON INTG BANKING-SILVER HDHP | ANTHEM BLUE CROSS | N/A | 1964-06-08 | 130 | 270213OHXB | N/A | PR | false | YOUHANAIE | N/A | TERESA | N/A | 9999-12-31 | 2024-08-01 | CDHP IN HEALTH SAVINGS ACCOUNT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5537881 | 2222 | 4793 | 8068071 | N/A | 4210385 | 2025-05-30 02:13:30.807969 | 2026-03-06 18:49:17.116017 |
| 2025-05-29 09:06:30.593388 | 2025-05-30 02:03:24.440895 | 8370091 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 8370091 | Athletic Physical Therapy Inc | 1941-11-29 | 2025-06-04 | F | PT | AE | GODBOLD | 33204792612 | SHARI | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250529.115937580.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537863/check_8370091_0a4e7e44-f9ca-4924-8342-aca2e455e9b0.json | N/A | N/A | N/A | N/A | N/A | 33204792612 | Supplemental Policy | N/A | AARP SUPPLEMENTAL HEALTH PLANS FROM UNITEDHEALTHCARE | THE ELIGIBILITY AND BENEFIT INFORMATION PROVIDED IS NOT A GUARANTEE OR PROMISE OF PAYMENT. PAYMENT DETERMINATION ONLY OCCURS AFTER THE CLAIM IS PROCESSED BY MEDICARE AND BY THE SUPPLEMENTAL PLAN ACCORDING TO THE MEMBER'S BENEFITS. | 1941-11-29 | N/A | N/A | N/A | SP | false | GODBOLD | N/A | SHARI | N/A | N/A | N/A | AARP MEDICARE SUPPLEMENT PLAN N | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5537863 | 2222 | 4802 | 8059280 | N/A | 4210360 | 2025-05-30 02:03:24.440895 | 2025-05-13 04:29:37.224766 |
| 2025-05-29 09:06:30.248789 | 2025-05-30 02:14:58.538253 | 8370081 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8370081 | Athletic Physical Therapy Inc | 1948-08-31 | 2025-05-30 | F | PT | AE | MIYATA | XEM904724382 | LARAINE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250529.115937580.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537630/check_8370081_ddc89d10-ae0f-4808-bef1-32bc97563f1b.json | N/A | N/A | N/A | N/A | N/A | XEM904724382 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1948-08-31 | 2002SD000004 | X0001002 | N/A | OT | false | MIYATA | N/A | LARAINE | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN F | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5537630 | 2222 | 4802 | 8069403 | N/A | 4210159 | 2025-05-30 02:14:58.538253 | 2025-05-13 04:29:37.224576 |
| 2025-05-29 09:06:29.926628 | 2025-05-30 02:12:50.153048 | 8370071 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 8370071 | Athletic Physical Therapy Inc | 1993-05-31 | 2025-06-05 | M | PT | N/A | LARSON | R13352452MM1 | RYAN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250529.115937580.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537530/check_8370071_d3cbc83c-4ec6-4a90-ba69-1cd6357ceb57.json | N/A | N/A | N/A | N/A | N/A | R13352452MM1 | N/A | N/A | CENTENE CORPORATION | N/A | 1993-05-31 | N/A | N/A | N/A | N/A | false | LARSON | N/A | RYAN | N/A | N/A | N/A | PPO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5537530 | 2222 | 4793 | 8067456 | N/A | 4210069 | 2025-05-30 02:12:50.153048 | 2025-05-13 04:29:37.224490 |
| 2025-05-29 09:06:29.666030 | 2025-05-30 02:03:21.297970 | 8370061 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 8370061 | Athletic Physical Therapy Inc | 1951-06-30 | 2025-06-02 | U | PT | AE | CHADORCHI | 33261790711 | JAFFA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250529.115937580.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537483/check_8370061_4a953e7d-691f-4e2d-9471-38246f45ec44.json | N/A | N/A | N/A | N/A | N/A | 33261790711 | N/A | N/A | AARP MEDICARE SUPPLEMENT BY UNITEDHEALTHCARE | N/A | 1951-06-30 | N/A | N/A | N/A | N/A | false | CHADORCHI | N/A | JAFFA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5537483 | 2222 | 4802 | 8059234 | N/A | 4210038 | 2025-05-30 02:03:21.297970 | 2025-06-02 14:57:36.820684 |
| 2025-05-29 09:06:29.400038 | 2025-05-30 02:03:24.743052 | 8370049 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 8370049 | Athletic Physical Therapy Inc | 1942-07-10 | 2025-06-03 | F | PT | AE | PRAGER | 8003423129 | JUDITH | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250529.115937580.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537357/check_8370049_da8d38f7-7dc6-4775-a099-2ac2f538febe.json | N/A | N/A | N/A | N/A | N/A | 8003423129 | N/A | N/A | AARP SUPPLEMENTAL HEALTH PLANS FROM UNITEDHEALTHCARE | N/A | 1942-07-10 | N/A | N/A | N/A | N/A | false | PRAGER | N/A | JUDITH | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5537357 | 2222 | 4793 | 8059284 | N/A | 4209932 | 2025-05-30 02:03:24.743052 | 2025-05-14 09:05:51.551805 |
| 2025-05-29 09:06:29.267420 | 2025-05-30 02:13:28.530239 | 8370043 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8370043 | Athletic Physical Therapy Inc | 1964-10-19 | 2025-06-02 | M | PT | AE | NIELSEN | XDP057A76330 | ROY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250529.115937580.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537188/check_8370043_b60f7d2c-a732-4909-8f07-a06b0c00982b.json | N/A | N/A | N/A | N/A | N/A | XDP057A76330 | Preferred Provider Organization (PPO) | ADP TOTALSOURCE INC | ANTHEM BLUE CROSS | N/A | 1964-10-19 | 040 | 280629M421 | N/A | PR | false | NIELSEN | N/A | ROY | N/A | 2025-06-01 | 2023-06-01 | PPO PRUDENT BUYER CLASSIC | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5537188 | 2222 | 4802 | 8068034 | N/A | 4209789 | 2025-05-30 02:13:28.530239 | 2025-05-13 04:29:37.224215 |
| 2025-05-29 09:06:29.082243 | 2025-05-30 02:15:49.520736 | 8370035 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8370035 | Athletic Physical Therapy Inc | 1966-11-30 | 2025-05-30 | F | PT | N/A | SONDREAAL | WMC125993776001 | DIANE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250529.115937580.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536323/check_8370035_89506ce8-aed6-4854-bb72-be42bfab7a5a.json | N/A | N/A | N/A | N/A | N/A | WMC125993776001 | Preferred Provider Organization (PPO) | WUNDERLICH-MALEC ENGINEERING, INC. CORE GROUP (PLAN 1) ACTIVES | BLUE SHIELD OF CALIFORNIA | FUNDING TYPE = SELF INSURED | 1966-11-30 | 725 | 10272720 | N/A | PR | false | SONDREAAL | N/A | PAUL | N/A | 9999-12-31 | 2023-05-01 | MED/SURG - PPO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5536323 | 2222 | 4793 | 8070166 | N/A | 4209086 | 2025-05-30 02:15:49.520736 | 2025-05-13 04:29:37.223507 |
| 2025-05-29 09:06:28.801615 | 2025-05-30 02:10:38.854351 | 8370023 | N/A | N/A | 87726 | United Healthcare | 1114042165 | 8370023 | Athletic Physical Therapy Inc | 1935-06-20 | 2025-05-30 | F | PT | AE | GOLDMAN | 949158511 | MARALYN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250529.115937580.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5535982/check_8370023_e3e10e47-40bd-44a5-b9fb-87d13441398b.json | N/A | N/A | N/A | N/A | N/A | 949158511 | Preferred Provider Organization (PPO) | N/A | UNITEDHEALTHCARE | A PRIOR AUTHORIZATION OR NOTIFICATION INQUIRY REQUEST MAY BE SUBMITTED | 1935-06-20 | N/A | 15306 | N/A | PR | false | GOLDMAN | N/A | MARALYN | N/A | N/A | N/A | LPPO-UNITEDHEALTHCARE GROUP MEDICARE ADVANTAGE (PP | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5535982 | 2222 | 4802 | 8065667 | N/A | 4208807 | 2025-05-30 02:10:38.854351 | 2025-05-13 04:29:37.223234 |
| 2025-05-29 09:06:28.679697 | 2025-05-30 02:03:25.435800 | 8370017 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 8370017 | Athletic Physical Therapy Inc | 1939-06-24 | 2025-06-04 | M | PT | AE | ULLMAN PP | 557489000 | DAVID | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250529.115937580.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5535842/check_8370017_11915e61-9980-42be-b045-eccd224a781a.json | N/A | N/A | N/A | N/A | N/A | 557489000 | N/A | N/A | AARP SUPPLEMENTAL HEALTH PLANS FROM UNITEDHEALTHCARE | N/A | 1939-06-24 | N/A | N/A | N/A | N/A | false | ULLMAN PP | N/A | DAVID | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5535842 | 2222 | 4801 | 8059296 | N/A | 4208696 | 2025-05-30 02:03:25.435800 | 2025-06-07 16:16:45.844566 |
| 2025-05-29 09:06:22.731276 | 2025-05-30 02:16:36.409145 | 8369777 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8369777 | Athletic Physical Therapy Inc | 1970-03-11 | 2025-06-03 | F | PT | N/A | MANNING | WAG838721278 | TRICIA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250529.115930829.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874457/check_8369777_0db30b2d-c590-406c-be3b-e9dc5b848abf.json | N/A | N/A | N/A | N/A | N/A | WAG838721278 | Preferred Provider Organization (PPO) | ACTIVE WAG | BLUE SHIELD OF CALIFORNIA | N/A | 1970-03-11 | N/A | 328059 | N/A | PR | false | MANNING | N/A | TRICIA | N/A | 9999-12-31 | 2025-01-01 | PREFERRED PROVIDER OPTION PLUS MEDICAL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5874457 | 2222 | 4801 | 8070827 | N/A | 4343472 | 2025-05-30 02:16:36.409145 | 2025-08-08 17:41:30.906097 |
| 2025-05-29 09:06:22.417600 | 2025-05-30 02:15:11.710070 | 8369763 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8369763 | Athletic Physical Therapy Inc | 1954-07-05 | 2025-06-02 | M | PT | N/A | JACKSON OLISON | YGZ624W07431 | CHERYL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250529.115930829.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874450/check_8369763_cac11d6e-9850-460e-b000-7971ed51739b.json | N/A | N/A | N/A | N/A | N/A | YGZ624W07431 | N/A | INSURANCE TRUST FOR DELTA RETIREES | ANTHEM BLUE CROSS | N/A | 1954-07-05 | 101 | GAEGR001 | N/A | N/A | false | JACKSON OLISON | N/A | CHERYL | N/A | 9999-12-31 | 2025-01-01 | GA GRS ITDR H4036-801 MEDICARE PREFERRED MAPD 10P | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5874450 | 2222 | 4801 | 8069611 | N/A | 4534573 | 2025-05-30 02:15:11.710070 | 2025-05-29 21:21:34.077440 |
| 2025-05-29 09:06:22.203414 | 2025-05-30 02:12:14.339828 | 8369755 | N/A | N/A | 87726 | United Healthcare | 1114042165 | 8369755 | Athletic Physical Therapy Inc | 2001-04-06 | 2025-06-03 | M | PT | AE | HARRAKA | 992737509 | ROBERT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250529.115930829.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874440/check_8369755_42fc4e01-ba13-4593-b4cb-1a70ba2e9dea.json | N/A | N/A | N/A | N/A | N/A | 992737509 | Commercial | FIG LLC (FORTRESS) | UNITEDHEALTHCARE | FUNDING TYPE = SELF INSURED - LARGE GROUP A PRIOR AUTHORIZATION OR NOTIFICATION INQUIRY REQUEST MAY BE SUBMITTED | 2001-04-06 | 0009 0009 | 704441 | N/A | C1 | false | HARRAKA | N/A | ROBERT | N/A | N/A | N/A | UNITEDHEALTHCARE CHOICE PLUS | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5874440 | 2222 | 4802 | 8066955 | N/A | 4534568 | 2025-05-30 02:12:14.339828 | 2025-05-27 20:53:12.991758 |
| 2025-05-29 09:06:22.037384 | 2025-05-30 02:23:04.189750 | 8369747 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8369747 | Athletic Physical Therapy Inc | 1958-03-16 | 2025-06-02 | F | PT | AE | SCHILLER | 4NG7R64EW31 | JUDY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250529.115930829.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874437/check_8369747_ad9f423d-630f-4a9e-88f7-9ef660e9e548.json | N/A | N/A | N/A | N/A | N/A | 4NG7R64EW31 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1958-03-16 | S4802 | N/A | N/A | MB | false | SCHILLER | N/A | JUDY | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5874437 | 2222 | 4802 | 8075220 | N/A | 4534564 | 2025-05-30 02:23:04.189750 | 2025-05-22 18:42:12.452816 |
| 2025-05-29 09:06:21.853257 | 2025-05-30 02:09:10.230991 | 8369741 | N/A | N/A | 62308 | American Specialty Health | 1114042165 | 8369741 | Athletic Physical Therapy Inc | 1963-10-30 | 2025-05-30 | M | AD | N/A | SCHIRO | U4234027401 | CRAIG | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250529.115930829.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874435/check_8369741_230f0da3-ed3d-4a47-af77-c3cd18b5dceb.json | N/A | N/A | N/A | N/A | N/A | U4234027401 | N/A | EQUIFAX INC. | CHLIC | PREFERRED CARE MANAGEMENT | 1963-10-30 | N/A | 3333787 | N/A | N/A | false | SCHIRO | N/A | CRAIG | N/A | N/A | N/A | OPEN ACCESS PLUS | N/A | AD | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5874435 | 2222 | 4802 | 8064421 | N/A | 4213817 | 2025-05-30 02:09:10.230991 | 2025-05-13 04:29:37.228137 |
| 2025-05-29 09:06:21.646210 | 2025-05-30 02:15:54.306977 | 8369734 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8369734 | Athletic Physical Therapy Inc | 1954-07-06 | 2025-05-30 | U | PT | N/A | WONG | MBL238A51912 | LOIS | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250529.115930829.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874429/check_8369734_300a5964-be8a-4423-a600-844e9d4d3fd0.json | N/A | N/A | N/A | N/A | N/A | MBL238A51912 | N/A | N/A | BLUE CROSS CALIFORNIA | N/A | 1954-07-06 | N/A | N/A | N/A | N/A | false | WONG | N/A | LOIS | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5874429 | 2222 | 4802 | 8070242 | N/A | 4534558 | 2025-05-30 02:15:54.306977 | 2025-06-02 02:24:50.975707 |
| 2025-05-29 09:06:21.379368 | 2025-05-30 02:12:14.903966 | 8369722 | N/A | N/A | 87726 | United Healthcare | 1114042165 | 8369722 | Athletic Physical Therapy Inc | 2013-08-17 | 2025-06-02 | F | PT | AE | RUEMMELE | 179409499 | MAKENA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250529.115930829.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874412/check_8369722_bf44b20a-6ea0-4986-afc2-193e541876a6.json | N/A | N/A | N/A | N/A | N/A | 17940949902 | Commercial | N/A | UNITEDHEALTHCARE INSURANCE COMPANY | FUNDING TYPE = FULLY INSURED - LARGE GROUP LABORATORY DESIGNATED DIAGNOSTIC BENEFITS IMAGING DESIGNATED DIAGNOSTIC BENEFITS | 2013-08-17 | N/A | 1685837 | N/A | C1 | false | RUEMMELE | N/A | MAKENA | N/A | N/A | N/A | CHOICE PLUS | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5874412 | 2222 | 4793 | 8066963 | N/A | 4534546 | 2025-05-30 02:12:14.903966 | 2025-12-03 00:06:29.870228 |
| 2025-05-29 09:05:42.293633 | 2025-05-30 02:07:34.153281 | 8367767 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8367767 | Athletic Physical Therapy Inc | 1958-01-24 | 2025-05-30 | M | PT | AE | SAUER | 4A29E05KW20 | MARCOS | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250529.115304691.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6068055/check_8367767_d7de3def-2746-431e-bcbf-1ba259cbadce.json | N/A | N/A | N/A | N/A | N/A | 4A29E05KW20 | Medicare Part A | N/A | UNITEDHEALTHCARE INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1958-01-24 | H0294 | N/A | N/A | MA | false | SAUER | N/A | MARCOS | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 6068055 | 2222 | 4793 | 8062925 | N/A | 4212024 | 2025-05-30 02:07:34.153281 | 2025-05-28 20:17:35.019662 |
| 2025-05-29 09:02:30.148030 | 2025-05-30 02:04:54.001405 | 8358508 | N/A | N/A | 87726 | United Healthcare | 1114042165 | 8358508 | Athletic Physical Therapy Inc | 1959-07-02 | 2025-06-03 | M | PT | AE | BALLETTA | 33147912211 | EDWARD | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250529.115304691.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993962/check_8358508_5d1a69ef-cf75-4788-a418-9e5e8d532ced.json | N/A | N/A | N/A | N/A | N/A | 331479122 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1959-07-02 | N/A | N/A | N/A | N/A | false | BALLETTA | N/A | EDWARD | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5993962 | 2222 | 4793 | 8060600 | N/A | 4642893 | 2025-05-30 02:04:54.001405 | 2025-05-28 20:58:29.913655 |
| 2025-05-29 09:02:29.815133 | 2025-05-30 02:05:58.783811 | 8358493 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8358493 | Athletic Physical Therapy Inc | 1941-01-22 | 2025-05-30 | U | PT | AE | CAMRAS | XEM911589219 | LINDA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250529.115304691.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993923/check_8358493_bf2de894-87dd-4e79-8b41-6729e5b4ddce.json | N/A | N/A | N/A | N/A | N/A | XEM911589219 | N/A | N/A | BLUE CROSS CALIFORNIA | N/A | 1941-01-22 | N/A | N/A | N/A | N/A | false | CAMRAS | N/A | LINDA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5993923 | 2222 | 4802 | 8061496 | N/A | 4642858 | 2025-05-30 02:05:58.783811 | 2025-06-04 17:40:37.742950 |
| 2025-05-29 09:02:29.373686 | 2025-05-30 02:05:59.404348 | 8358464 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8358464 | Athletic Physical Therapy Inc | 1939-06-25 | 2025-05-30 | U | PT | AE | JACOBS | JQE406W03039 | PATRICIA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250529.115304691.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993913/check_8358464_e5ef34db-db93-422c-ace9-bc285347808a.json | N/A | N/A | N/A | N/A | N/A | JQE406W03039 | N/A | N/A | BLUE CROSS CALIFORNIA | N/A | 1939-06-25 | N/A | N/A | N/A | N/A | false | JACOBS | N/A | PATRICIA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5993913 | 2222 | 4793 | 8061507 | N/A | 4642852 | 2025-05-30 02:05:59.404348 | 2025-11-21 18:38:17.056437 |
| 2025-05-29 09:02:28.942828 | 2025-05-30 02:05:59.896683 | 8358432 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8358432 | Athletic Physical Therapy Inc | 1953-05-16 | 2025-06-02 | U | PT | AE | KESHAVARZIAN | JQE128W05540 | AMIR | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250529.115304691.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993911/check_8358432_14c7470d-ac9c-487d-a0ac-7c802944e66e.json | N/A | N/A | N/A | N/A | N/A | JQE128W05540 | N/A | N/A | BLUE CROSS CALIFORNIA | N/A | 1953-05-16 | N/A | N/A | N/A | N/A | false | KESHAVARZIAN | N/A | AMIR | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5993911 | 2222 | 4801 | 8061513 | N/A | 4534577 | 2025-05-30 02:05:59.896683 | 2025-06-18 18:41:30.608585 |
| 2025-05-29 09:01:36.617837 | 2025-05-30 02:17:28.305389 | 8355134 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8355134 | Athletic Physical Therapy Inc | 2008-06-03 | 2025-06-02 | M | PT | N/A | DATO | NGO555A50496 | BRETT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250529.120227720.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5551045/check_8355134_0e299a1e-03ec-4f26-8cab-3d9e07d0369d.json | N/A | N/A | N/A | N/A | N/A | NGO555A50496 | Preferred Provider Organization (PPO) | NORTHROP GRUMMAN CORP | ANTHEM BLUE CROSS | N/A | 2008-06-03 | 040 | 174022MJAD | N/A | PR | false | DATO | N/A | GREGORY | N/A | 9999-12-31 | 2021-01-02 | CDHP CA GENERIC HLTH SAVINGS ACCT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5551045 | 2222 | 4793 | 8071569 | N/A | 4219851 | 2025-05-30 02:17:28.305389 | 2025-05-13 04:29:37.230897 |
| 2025-05-29 09:01:36.377344 | 2025-05-30 02:03:25.462283 | 8355123 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8355123 | Athletic Physical Therapy Inc | 1953-04-10 | 2025-05-30 | F | PT | AE | BOWMAN | 00000386100 | GLORIA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250529.120227720.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5551030/check_8355123_ce23ea09-fe0b-4c46-a610-0258d4b9d903.json | N/A | N/A | N/A | N/A | N/A | 00000386100 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1953-04-10 | N/A | N/A | N/A | N/A | false | BOWMAN | N/A | GLORIA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5551030 | 2222 | 4801 | 8059295 | N/A | 4219852 | 2025-05-30 02:03:25.462283 | 2025-05-13 04:29:37.230898 |
| 2025-05-29 09:01:36.087004 | 2025-05-30 02:06:47.605965 | 8355101 | N/A | N/A | 60054 | Aetna | 1114042165 | 8355101 | Athletic Physical Therapy Inc | 1953-04-10 | 2025-06-03 | F | PT | AE | BOWMAN | W260258759 | GLORIA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250529.120227720.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5551029/check_8355101_9ca71e2d-1aca-4584-98a6-3efc2cf2deb6.json | N/A | N/A | N/A | N/A | N/A | W260258759 | N/A | N/A | AETNA | N/A | 1953-04-10 | 0141473 | 014147301500001 | N/A | N/A | false | BOWMAN | N/A | GEORGE | N/A | N/A | N/A | OA MANAGED CHOICE POS | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5551029 | 2222 | 4801 | 8062178 | N/A | 4219852 | 2025-05-30 02:06:47.605965 | 2025-05-13 04:29:37.230898 |
| 2025-05-29 09:01:35.607062 | 2025-05-30 02:17:31.653430 | 8355075 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8355075 | Athletic Physical Therapy Inc | 1999-08-19 | 2025-06-04 | M | PT | N/A | JUAREZ | XDP988W13643 | JIMMY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250529.120227720.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5551004/check_8355075_50abf1cd-710f-49fc-9332-427722699345.json | N/A | N/A | N/A | N/A | N/A | XDP988W13643 | Preferred Provider Organization (PPO) | BOINGO WIRELESS INC CA/OOS | ANTHEM BLUE CROSS | N/A | 1999-08-19 | 040 | 152192M030 | N/A | PR | false | JUAREZ | N/A | JIMMY | N/A | 9999-12-31 | 2025-01-01 | CA GENERIC HLTH SAVINGS ACCT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5551004 | 2222 | 4802 | 8071620 | N/A | 4219825 | 2025-05-30 02:17:31.653430 | 2025-05-13 04:29:37.230871 |
| 2025-05-29 09:01:35.227514 | 2025-05-30 02:06:54.077403 | 8355045 | N/A | N/A | 60054 | Aetna | 1114042165 | 8355045 | Athletic Physical Therapy Inc | 1983-11-15 | 2025-06-03 | M | PT | AE | TODOROV | W254693067 | LYUBOMIR | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250529.120227720.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5551001/check_8355045_83b8bfa3-7acc-4109-ad57-b11af10fe2a5.json | N/A | N/A | N/A | N/A | N/A | W254693067 | Point of Service (POS) | AMAZON.COM SERVICES, INC. | AETNA | N/A | 1983-11-15 | 0868403 | 086840303200001 | N/A | PS | false | TODOROV | N/A | LYUBOMIR | N/A | N/A | N/A | AHF CHOICE POS II | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5551001 | 2222 | 4802 | 8062264 | N/A | 4219821 | 2025-05-30 02:06:54.077403 | 2025-05-13 04:29:37.230867 |
| 2025-05-29 09:01:34.954031 | 2025-05-30 02:17:35.416190 | 8355024 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8355024 | Athletic Physical Therapy Inc | 1981-02-28 | 2025-05-30 | F | PT | N/A | CARROLL | JPU767A23997 | REBECCA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250529.120227720.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550993/check_8355024_08df6799-3112-45c6-b271-c6fc175506bc.json | N/A | N/A | N/A | N/A | N/A | JPU767A23997 | Preferred Provider Organization (PPO) | SAGE PUBLICATIONS INC | ANTHEM BLUE CROSS | N/A | 1981-02-28 | 040 | L12045M001 | N/A | PR | false | STAEVSKI | N/A | THOMAS | N/A | 9999-12-31 | 2025-01-01 | PPO 51-250 PRUDENT BUYER INCENTIVE PLAN | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5550993 | 2222 | 4793 | 8071671 | N/A | 4219817 | 2025-05-30 02:17:35.416190 | 2025-05-13 04:29:37.230864 |
| 2025-05-29 09:01:34.565405 | 2025-05-30 02:17:33.658212 | 8355000 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8355000 | Athletic Physical Therapy Inc | 1966-04-27 | 2025-05-30 | M | PT | N/A | MERTES | XED914030953 | CORY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250529.120227720.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550989/check_8355000_3139c2dd-262d-4b78-a65c-21a0974f498a.json | N/A | N/A | N/A | N/A | N/A | XED914030953 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | ANTHEM BLUE CROSS | N/A | 1966-04-27 | 2001ZK002184 | X0001004 | N/A | PR | false | MERTES | N/A | CORY | N/A | N/A | N/A | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5550989 | 2222 | 4793 | 8071651 | N/A | 4219813 | 2025-05-30 02:17:33.658212 | 2025-05-13 04:29:37.230860 |
| 2025-05-29 09:01:33.990668 | 2025-05-30 02:19:12.783468 | 8354966 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8354966 | Athletic Physical Therapy Inc | 1974-03-02 | 2025-06-03 | F | PT | N/A | TRAGESSER | XED913992617 | HOPE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250529.120227720.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550985/check_8354966_d1b3b1d3-040f-4b21-9b7c-15b819b4fc29.json | N/A | N/A | N/A | N/A | N/A | XED913992617 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1974-03-02 | 2001ZK002186 | X0001004 | N/A | PR | false | TRAGESSER | N/A | DENNIS | N/A | N/A | N/A | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5550985 | 2222 | 4801 | 8073022 | N/A | 4219807 | 2025-05-30 02:19:12.783468 | 2025-05-13 04:29:37.230853 |